Septoplasty Vs Rhinoplasty for Crooked Nose?

I have a crooked nose. Will Septoplasty fix it or will I need Rhinoplasty as well? Are there any closed options available? Looking at my picture, if I get Septoplasty, should I get Rhinoplasty anyway to make my nose smaller?

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23 Doctor Answers | Asked by the_carter in wichita

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Correcting a Crooked Nose

A septoplasty is a surgery performed to correct a deviated (or crooked) septum. A true "septoplasty" does not involve changing the shape of the nose. The septum is the piece of cartilage that separates one side of the nose from the other. Normally, the septum is straight. When it is crooked, it is termed a deviated septum. A deviated septum can block the nasal passage and contribute to symptoms of nasal obstruction. Correction of a deviated septum with a septoplasy involves making... more

Rhinoplasty will straighten nose while septoplasty will improve breathing

A septoplasty will fix the internal breathing component of the nose and will not straighten the external portion. The septoplasty is simply performed for improving airflow dynamics and breathing through the nose. If the external portion of the nose is crooked, the nasal bones will have to be reset through a rhinoplasty. This is done through a closed rhinoplasty technique where all the incisions are made on the inside of the nose. It does not have to be an open rhinoplasty. If you... more

Septoplasty and Rhinoplasty are often done together.

In general, where there's a crooked or skewed external appearance, there's also a skewed or deviated septum. Typically, both the septum and the external framework of the nose need to be addressed at the same time. This, of course, means septoplasty and rhinoplasty (a.k.a., septorhinoplasty). Closed approaches may work just fine, but my general preference is an open approach, especially for the crooked nose. One important factor to consider, though, is whether the face itself is skewed. In... more

Rhinoplasty, Septoplasty, or Both for Crooked Male Nose?

Hi Carter, You need to decide if the external appearance of your nose bothers you. If it does, other than the crookedness, then you need to decide what features are bothersome, and what you would like it to look like after rhinoplasty. You should only make your nose smaller if it is something that has troubled you for some time. Occasionally just straightening a deviated septum will correct a crooked nose. If the nose remains crooked after septoplasty, then other techniques are necessary to... more

Michael A. Persky, MD

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Los Angeles Facial Plastic Surgeon

drpersky.com

Nose and septum

It is tough to tell accurately from just a single picture and no physical examination. Your nasal bones appear deviated. This should typically be repaired in addition to the septum. Also of any other aspects of the nasal appearance bother you, that would be the time. It would be a shame to throw away valuable nasal septal cartilage if it might help in the reconstruction of a droopy tip..

Septoplasty does not usually change the appearance of your nose.

If you're happy with the appearance of your nose, then you don't need a Rhinoplasty. If you'd like your nose straighter, and smaller, then Rhinoplasty would be suitable. If you have chronic nasal blockage on one side only, then your septum is probably deviated towards the side of the blockage. Repairing that alone would not likely change the external appearance, but could improve your breathing. I hope this helps, and best regards.

Eric M. Joseph, MD

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West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Septoplasty vs. Rhinoplasty for Crooked Nose

Thank you for the question and your photo. Septoplasty is generally performed from inside the nose ("closed") and involves straightening the cartilage/bone in the septum to improve nasal breathing. In many case, the deviated or damaged portions of the septum need to be removed, while preserving the lining of the septum. With a traditional septoplasty, no changes to the external nose are expected. In the case of a crooked nose, typically from trauma, a "septorhinoplasty" may be... more

Septoplasty and rhinoplasty in the treatment of the crooked nose

The terms septoplasty and rhinoplasty can be very confusing for patients. Truly treating a crooked nose involved separating the five major aesthetic structural units from eachother, the paired upper lateral cartilages, the paired lower lateral cartilages and the septum. Once this is completed, a submucuos resection of the central septum is completed. It is only after these steps that the forces and form of each structure can be evaluated and treated. The components... more

Septoplasty and deviated nose

Deviation of the nose is more common than it is diagnosed and is mostly associated with deviated septum. From your picture, it appears there is some facial asymmetry which is seen to a certain degree in everyone. Complete correction of deviated nose involves correction of both components in order to achieve a good result.

Rhinoplasty Helps Straighten a Crooked Nose

A septoplasty alone will not straighten the external crooked portion of your nose. A rhinoplasty would address the external deviation. A closed or open approach could be used to accomplish this goal.